SERES PRIME HEALTHCARE NPI 1306483839

NPI Information

NPI: 1306483839
Provider Name: SERES PRIME HEALTHCARE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D2178593

Address:
841 BLOSSOM HILL RD STE 215
SAN JOSE, CA
ZIP 95123
Phone: (408) 629-7095
Get Directions

SERES PRIME HEALTHCARE is a primary care clinic center in San Jose, CA. SERES PRIME HEALTHCARE NPI is 1306483839. The provider is registered as an organization entity type.

The provider's business location address is:

841 BLOSSOM HILL RD STE 215
SAN JOSE, CA
ZIP 95123-704
Phone: (408) 629-7095
Fax: (408) 281-8235

The provider's authorized official is Daniel J Reyes-villa .
The authorized official title is President and has the following contact phone number (408) 702-0991.

The CLIA number assigned to this NPI record is 05D2178593 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2019 and was last updated on 3/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »